Individual
IDALIA THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
230 HIGHLAND AVE, SOMERVILLE, MA 02143-1408
(671) 591-5400
(671) 591-5401
Mailing address
PO BOX 23, MANVILLE, RI 02838-0023
(601) 209-5755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99461
MA
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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